Active NPI
Robert J. Bolduc, Optometrist, P.a.
- Durable Medical Equipment & Medical Supplies
- Biddeford, ME
National Provider Identifier
1346425741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 660T
- Legal business name
- ROBERT J. BOLDUC, OPTOMETRIST, P.A.
- Practice address
- 311 Alfred St
Biddeford, ME 04005-3127 - Phone
- (207) 284-6651
- Fax
- (207) 286-9579
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Zahares
- Title
- Billing
- Phone
- (207) 284-6651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 660T | ME | Primary |
Addresses
Primary practice location
311 Alfred St
Biddeford, ME 04005-3127
Mailing address
311 Alfred St
Biddeford, ME 04005-3127
Phone (207) 284-6651
National Provider Directory
National Provider DirectoryLocations
311 Alfred St
Biddeford, ME 04005
Phone (207) 284-6651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Biddeford, ME
- NPI 1376890822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502236800000",
"number": "1346425741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ALFRED ST",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053127",
"telephone_number": "207-284-6651",
"fax_number": "207-286-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ALFRED ST",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053127",
"telephone_number": "207-284-6651",
"fax_number": "207-286-9579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. BOLDUC, OPTOMETRIST, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2017-08-09",
"status": "A",
"authorized_official_last_name": "ZAHARES",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "207-284-6651"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ME",
"license": "660T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.